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R 385
Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2023Doctors Gazette 2023General Practitioner and Specialist Tariff of Fees as from 1 April 2023Part lll : Procedures3. Musculo-Skeletal System3.8 Specific areas |
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Specialist |
General Practitioner |
Anaesthetic |
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U |
R |
U |
R |
U |
R T/M |
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3.8.1 |
Foot and ankle |
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0900 |
Excision tarsal coalition - stand alone procedure |
141.5 |
4 174.25 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0901 |
Tenotomy single tendon |
63.3 |
1 867.35 |
63.3 |
1 867.35 |
3 |
413.58 +T+M |
0903 |
Hammertoe: one toe |
99.5 |
2 935.25 |
99.5 |
2 935.25 |
3 |
413.58 +T+M |
0905 |
Fillet of toe or Ruiz-Mora procedure |
99.5 |
2 935.25 |
99.5 |
2 935.25 |
3 |
413.58 +T+M |
0906 |
Arthrodesis Hallux |
148 |
4 366.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0909 |
Excision arthroplasty |
145.2 |
4 283.40 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0910 |
Cheilectomy or metatarsophangeal implant Hallux |
183 |
5 398.50 |
146.4 |
4 318.80 |
3 |
413.58 +T+M |
0911 |
Metatarsal osteotomy or Lapidus or similar or Chevron - stand alone procedure |
189.2 |
5 581.40 |
151.36 |
4 465.12 |
3 |
413.58 +T+M |
5730 |
Hallux valgus double osteotomy etc |
182.6 |
5 386.70 |
146.08 |
4 309.36 |
3 |
413.58 +T+M |
5731 |
Distal soft tissue procedure for Hallux Valgus |
173.6 |
5 121.20 |
138.88 |
4 096.96 |
3 |
413.58 +T+M |
5732 |
Aitkin procedure or similar |
166.8 |
4 920.60 |
133.44 |
3 936.48 |
3 |
413.58 +T+M |
5734 |
Removal bony prominence foot (bunionette not applicable to COID) |
91 |
2 684.50 |
91 |
2 684.50 |
3 |
413.58 +T+M |
5735 |
Repair angular deformity toe (lesser toes) |
97.2 |
2 867.40 |
97.2 |
2 867.40 |
3 |
413.58 +T+M |
5736 |
Sesamoidectomy |
97.8 |
2 885.10 |
97.8 |
2 885.10 |
3 |
413.58 +T+M |
5737 |
Repair major foot tendons e.g. Tib Post |
147.3 |
4 345.35 |
120 |
3 540.00 |
3 |
413.58 +T+M |
5738 |
Repair of dislocating peroneal tendons |
173.2 |
5 109.40 |
138.56 |
4 087.52 |
3 |
413.58 +T+M |
5740 |
Steindler strip - plantar fascia |
97.2 |
2 867.40 |
97.2 |
2 867.40 |
3 |
413.58 +T+M |
5742 |
Tendon transfer foot |
172 |
5 074.00 |
137.6 |
4 059.20 |
3 |
413.58 +T+M |
5743 |
Capsulotomy metatarsophalangeal joints - foot |
86.8 |
2 560.60 |
86.8 |
2 560.60 |
3 |
413.58 +T+M |
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3.8.2 |
Replantation |
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|
0912 |
Replantation of amputated upper limb proximal to wrist joint |
730 |
21 535.00 |
584 |
17 228.00 |
3 |
413.58 +T+M |
0913 |
Replantation of thumb |
670 |
19 765.00 |
536 |
15 812.00 |
3 |
413.58 +T+M |
0914 |
Replantation of a single digit (to be motivated), for multiple digits, modifier 0005 applicable |
580 |
17 110.00 |
464 |
13 688.00 |
3 |
413.58 +T+M |
0915 |
Replantation operation through the palm |
1270 |
37 465.00 |
1016 |
29 972.00 |
3 |
413.58 +T+M |
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3.8.3 |
Hands: (Note: Skin: See Integumentary system) |
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|
0919 |
Tumours: Epidermiod cysts |
35 |
1 032.50 |
35 |
1 032.50 |
3 |
397.68 +T+M |
0922 |
Removal of foreign bodies requiring incision: Under local anaesthetic |
19 |
560.50 |
19 |
560.50 |
3 |
397.68 +T+M |
0923 |
Removal of foreign bodies requiring incision: Under general or regional anaesthetic |
32 |
944.00 |
32 |
944.00 |
3 |
397.68 +T+M |
0924 |
Crushed hand injuries: Initial extensive soft tissue toilet under general anaesthetic (sliding scale) |
37 to 110 |
1 091.50
3 245.00 |
37 to 110 |
1 091.50
3 245.00 |
3 |
413.58 +T+M |
0925 |
Crushed hand injuries: Subsequent dressing charges under general anaesthetic |
16 |
472.00 |
16 |
472.00 |
3 |
413.58 +T+M |
0926 |
Initial treatment of fractures, tendons, nerves, loss of skin and blood vessels,including removal of dead tissue under general anaesthesia and six weeks alter-care |
269 |
7 935.50 |
215.2 |
6 348.40 |
3 |
413.58 +T+M |
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3.8.4 |
Spine |
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|
0927 |
Excision of one vertebral body, for a lesion within the body (no decompression) |
207 |
6 106.50 |
165.6 |
4 885.20 |
3 |
413.58 +T+M |
0928 |
Excision of each additional vertebral segment for a lesion within the body (no decompression) |
+ 42 |
1 239.00 |
42 |
1 239.00 |
3 |
413.58 +T+M |
0929 |
Manipulation of spine with anaesthetic (no aftercare), (modifier 0005 is not applicable) Tariff code may not be used with spinal manipulation done in rooms because such manipulation is considered part of visit/consultation |
14 |
413.00 |
14 |
413.00 |
5 |
689.30 +T+M |
0930 |
Posterior osteotomy of spine: One vertebral segment Appropriate tariff codes for instrumentation and bone graft may be added |
339 |
10 000.50 |
271.2 |
8 000.40 |
3 |
413.58 +T+M |
0931 |
Posterior spinal fusion: One level Tariff code 0946 can be added |
385 |
11 357.50 |
308 |
9 086.00 |
3 |
413.58 +T+M |
0932 |
Posterior osteotomy of spine: Each additional vertebral segment Appropriate tariff codes for instrumentation and bone graft may be added Modifier 0005 does not apply Add to tariff code 0930 |
+ 103 |
3 038.50 |
103 |
3 038.50 |
3 |
413.58 +T+M |
0933 |
Anterior spinal osteotomy with disc removal: One vertebral segment Tariff code 0936 can be added Appropriate tariff codes for instrumentation and bone graft may be added |
315 |
9 292.50 |
252 |
7 434.00 |
3 |
413.58 +T+M |
0936 |
Anterior spinal osteotomy with disc removal: Each additional vertebral segment Modifier 0005 does not apply Appropriate tariff codes for instrumentation and bone graft may be added |
+ 103 |
3 038.50 |
+ 103 |
3 038.50 |
3 |
413.58 +T+M |
0938 |
Anterior fusion base of skull to C2 |
449 |
13 245.50 |
359.2 |
10 596.40 |
4 |
551.44 +T+M |
0939 |
Trans-abdominal anterior exposure of the spine for spinal-fusion only if done by a second surgeon |
160 |
4 720.00 |
128 |
3 776.00 |
3 |
413.58 +T+M |
0940 |
Transthoracic anterior exposure of the spine if done by a second surgeon |
160 |
4 720.00 |
128 |
3 776.00 |
3 |
413.58 +T+M |
0941 |
Anterior interbody fusion: One level Tariff code 0942 can be added |
360 |
10 620.00 |
288 |
8 496.00 |
3 |
413.58 +T+M |
0942 |
Anterior interbody fusion: Each additional level Modifier 0005 does not apply |
+ 102 |
3 009.00 |
+ 102 |
3 009.00 |
3 |
413.58 +T+M |
0943 |
Laminectomy with decompression of nerve roots and disc removal: One level |
240 |
7 0890.00 |
192 |
5 664.00 |
3 |
413.58 +T+M |
0944 |
Posterior fusion: Occiput to C2 |
390 |
11 505.00 |
312 |
9 204.00 |
4 |
551.44 +T+M |
0946 |
Posterior spinal fusion: Each additional level |
+ 111 |
3 274.50 |
+ 111 |
3 274.50 |
3 |
413.58 +T+M |
0948 |
Posterior interbody lumbar fusion: One level Tariff code 0950 can be added |
364 |
10 738.00 |
291.2 |
8 590.40 |
3 |
413.58 +T+M |
0950 |
Posterior interbody lumbar fusion: Each additional interspace |
+ 95 |
2 802.50 |
+ 95 |
2 802.50 |
3 |
413.58 +T+M |
0959 |
Excision of coccyx |
96 |
2 832.00 |
96 |
2 832.00 |
3 |
413.58 +T+M |
0960 |
Posterior non-segmental instrumentation |
167 |
4 926.50 |
133.6 |
3 941.20 |
5 |
689.30 +T+M |
0961 |
Costo-transversectomy |
198 |
S 841.00 |
158.4 |
4 672.80 |
3 |
413.58 +T+M |
0962 |
Posterior segmental Instrumentation: 2 to 6 vertebrae |
176 |
5 192.00 |
140.8 |
4 153.60 |
5 |
689.30 +T+M |
0963 |
Antero-lateral decompression of spinal cord or anterior debridement |
326 |
9 617.00 |
260.8 |
7 693.60 |
3 |
413.58 +T+M |
0964 |
Posterior segmental instrumentation: 7 to 12 vertebrae Not to use with tariff code 0962 Modifier 0005 not applicable |
201 |
5 929.50 |
160.8 |
4 743.60 |
5 |
689.30 +T+M |
0966 |
Posterior segmental instrumentation: 13 or more vertebrae Not to use with tariff code 0962 and 0964 Modifier 0005 not applicable |
245 |
7 227.50 |
196 |
5 782.00 |
5 |
689.30 +T+M |
0968 |
Anterior instrumentation: 2 to 3 vertebrae |
159 |
4 690.50 |
127.2 |
3 752.40 |
5 |
689.30 +T+M |
0969 |
Skull or skull-femoral traction including two weeks after-care |
64 |
1 888.00 |
64 |
1 888.00 |
-- |
|
0970 |
Anterior instrumentation: 4 to 7 vertebrae Not to use with tariff code 0968 Modifier 0005 not applicable |
185 |
5 457.50 |
148 |
4 366.00 |
5 |
689.30 +T+M |
0972 |
Anterior instrumentation : 8 or more vertebrae Not to use with tariff code 0968 and 0970 Modifier 0005 not applicable |
206 |
6 077.00 |
164.8 |
4 861.60 |
5 |
689.30 +T+M |
0974 |
Additional pelvic fixation of instrumentation other than sacrum Modifier 0005 not applicable |
108 |
3 186.00 |
108 |
3 186.00 |
5 |
689.30 +T+M |
5750 |
Reinsertion of instrumentation Add appropriate instrumentation codes |
276 |
8 142.00 |
220.8 |
6 513.60 |
6 |
827.16 +T +M |
5751 |
Removal of posterior non-segmental instrumentation Add instrumentation codes if appropriate |
173 |
5 103.50 |
138.4 |
4 082.80 |
6 |
827.16 +T +M |
5752 |
Removal of posterior segmental instrumentation Add instrumentation codes if appropriate |
175 |
5 162.50 |
140 |
4 130.00 |
6 |
827.16 +T +M |
5753 |
Removal of anterior instrumentation Add instrumentation codes if appropriate |
204 |
6 018.00 |
163.2 |
4 814.40 |
6 |
827.16 +T +M |
5755 |
Laminectomy for spinal stenosis (exclude diskectomy, foraminotomy and spondylolisthesis): One or two levels |
295 |
8 702.50 |
236 |
6 962.00 |
3 |
413.58 +T+M |
5756 |
Laminectomy with full decompression for spondylolisthesis (Gill procedure) |
304 |
8 968.00 |
243.2 |
7 174.40 |
3 |
413.58 +T+M |
5757 |
Laminectomy for decompression without foraminotomy or diskectomy more than two levels |
321 |
9 469.50 |
256.8 |
7 575.60 |
3 |
413.58 +T+M |
5758 |
Laminectomy with decompression of nerve roots and disc removal: Each additional level |
63 |
1 858.50 |
63 |
1 858.50 |
3 |
413.58 +T+M |
5759 |
Laminectomy for decompression diskectomy etc., revision operation |
352 |
10 384.00 |
281.6 |
8 307.20 |
4 |
551.44+T+M |
5760 |
Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis: One level |
301 |
8 879.50 |
240.8 |
7 103.60 |
3 |
413.58 +T+M |
5761 |
Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis: Each additional level |
68 |
2 006.00 |
68 |
2 006.00 |
3 |
413.58 +T+M |
5763 |
Anterior disc removal and spinal decompression cervical: One level Tariff code 5764 can be added |
344 |
10 148.00 |
275.2 |
8 118.40 |
3 |
413.58 +T+M |
5764 |
Anterior disc removal and spinal decompression cervical: Each additional level |
81 |
2 389.50 |
81 |
2 389.50 |
3 |
413.58 +T+M |
5765 |
Vertebral corpectomy for spinal decompression: One level |
466 |
13 747.00 |
372.8 |
10 997.60 |
3 |
413.58 +T+M |
5766 |
Vertebral corpectomy for spinal decompression: Each additional level Tariff code 5766 can be added |
88 |
2 596.00 |
88 |
2 596.00 |
3 |
413.58 +T+M |
5770 |
Use of microscope in spinal and intercranial procedures (modifier 0005 not applicable) |
71 |
2 094.50 |
71 |
2 094.50 |
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